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Organization

RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA

Active
Parent organization
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Other names
Hazleton Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Authorized official
MATTHEW J ISKRA MBA (CFO)
(570) 825-8741
Entity
Organization

Contact information

Practice address
1730 E BROAD ST STE 2, HAZLETON, PA 18201-5657
(570) 455-9589
(570) 455-8848
Mailing address
276 E END CTR, WILKES BARRE, PA 18702-6970
(570) 825-8741
(570) 825-8990

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
10/10/2019
Last updated
10/26/2023
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